Beach Chair Position For Shoulder Arthroscopy. 25 in 1988 were the first authors to report the BCP for arthroscopic shoulder surgery. 1 In 2005 Pohl and Cullen published a 4-patient case series describing catastrophic cerebral ischemia in patients undergoing shoulder surgery in the BCP.
Arthroscopic shoulder surgery can be performed in both the beach chair and lateral decubitus positions. Routine arthroscopy arthroscopic subacromial decompression and arthroscopic shoulder stabilizations were performed with no complications. Shoulder surgery in the beach chair position is associated with diminished cerebral autoregulation but no differences in postoperative cognition or brain injury biomarker levels compared with supine positioning.
The advantages of the beach chair position include the ease of setup limited brachial plexus stress increased glenohumeral and subacromial visualization anesthesia flexibility and the ability to easily convert to an open procedure.
The beach chair position is a reliable safe and effective position to perform nearly all types of shoulder arthroscopic procedures. 3 Skyhar et al. The beach chair position is a reliable safe and effective position to perform nearly all. Overall there is strong evidence that patients who undergo shoulder arthroscopy in the beach-chair position have an increased risk of intraoperative CDEs.